Health Care Delivery

Since taking office, President Donald Trump has toyed with the idea of eliminating the cost-sharing reduction (CSR) payments to insurers under the Affordable Care Act (ACA). Doing so would actually decrease the number of uninsured individuals starting in 2020, but would increase the federal deficit by $194 billion from 2017 through 2026, according to a new report released by the Congressional Budget Office (CBO).

The notice says some states have given insurers the ability to build a cushion into silver plan rates to account for the possible loss of cost-sharing reductions. An extra 3 weeks would give plans in more states the chance to do the same thing.

Large employers that self-insure can avoid the tax, but that option is off limits to small businesses like restaurants or convenience stores.

A new report from the Kaiser Family Foundation examines preliminary data on premium rates and plan offerings on the Affordable Care Act’s exchanges.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast.

This week, the top managed care stories included bipartisan proposals for fixing the Affordable Care Act (ACA); FDA approved a targeted therapy for patients with acute myeloid leukemia who have a rare genetic mutation; and a study found that more patients have gained access to clinical trials after the ACA was implemented.

Medical bankruptcy is indefensible and even if patients are willing to bankrupt themselves to purchase a cure, doesn't mean that is how pricing and reimbursement of treatments should be handled, said Darius Lakdawalla, PhD, Quintiles Chair in Pharmaceutical Development and Regulatory Innovation at the School of Pharmacy at the University of Southern California

After Senator John McCain (R-Arizona) returned to Congress last week after surgery and a brain tumor diagnosis, he called on his fellow senators to put aside partisan differences and work together on healthcare reform. In the House of Representatives, a bipartisan group is trying to do just that.

After the Affordable Care Act (ACA) required private insurers to pay the standard-of-care costs for patients participating in approved clinical trials, the rate of patients cleared by their insurer to take part in early-phase oncology trials has increased, a new study has found.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast.

With Senator John McCain of Arizona joining with Senators Lisa Murkowski of Alaska and Susan Collins of Maine, Republicans were unable to pass the skinny repeal option.

With Republicans unable to agree on legislation to repeal and replace the Affordable Care Act (ACA), the next step may be to work out some bipartisan fixes with Democrats. Here are 5 ideas that could appear in a bipartisan deal to fix the ACA.

When Donald Trump was elected president in November 2016, repealing the Affordable Care Act (ACA) suddenly became an attainable goal for Republicans in Congress. Here, we look back at the legislative twists and turns of ACA repeal efforts in 2017.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast.

The data confirm what Medicaid beneficiaries report and what a study by a Wharton School professor found: physicians' willingness to take on Medicaid patients is directly related to reimbursement rates.